Blanca Susana Wiggins Zavala Lopez, is a
Psychologist - Cognitive & Behavioral based in Pahrump, Nevada. Blanca Susana Wiggins Zavala Lopez is licensed to practice in * (Not Available) (license number ) and her current practice location is
2360 E Calvada Blvd Ste D, Pahrump, Nevada. She can be reached at her office (for appointments etc.) via phone at
(702) 809-7631.
NPI number for Blanca Susana Wiggins Zavala Lopez is 1083440549 and her current mailing address is 1980 W Windsong Ln, Pahrump, Nevada. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1083440549.
Healthcare Provider's Profile
| Full Name | Blanca Susana Wiggins Zavala Lopez |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist - Cognitive & Behavioral |
|---|
| Location | 2360 E Calvada Blvd Ste D, Pahrump, Nevada |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1083440549
- Provider Enumeration Date: 09/11/2024
- Last Update Date: 11/27/2024
Medical Identifiers
Medical identifiers for Blanca Susana Wiggins Zavala Lopez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1083440549 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 133NN1002X | Nutritionist - Nutrition, Education | (* (Not Available)) | Secondary |
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103TP2701X | Psychologist - Group Psychotherapy | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 174H00000X | Health Educator | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 103TB0200X | Psychologist - Cognitive & Behavioral | (* (Not Available)) | Primary |
| 171400000X | Health & Wellness Coach | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Blanca Susana Wiggins Zavala Lopez is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Blanca Susana Wiggins Zavala Lopez,
1980 W Windsong Ln,
Pahrump, NV 89048-4210
Ph: (702) 809-7631 | Blanca Susana Wiggins Zavala Lopez,
2360 E Calvada Blvd Ste D,
Pahrump, NV 89048-3994
Ph: (702) 809-7631 |
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